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Tool 2A: Interdisciplinary Team

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

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Background: Crucial to a fall prevention initiative is the creation of an interdisciplinary Implementation Team that will oversee the improvement effort. This tool can be used to identify people from different disciplines to take part on the Implementation Team.

Reference: Developed by Falls Toolkit Research Team.

How to use this tool: This tool contains three parts:

  • Use the first list provided to form your Implementation Team. This tool should be filled out by the Implementation Team leader. List the names of possible team members from each department or discipline and their area of expertise.
  • The second list provides all the tools and resources included in the toolkit and which team roles and disciplines may be responsible for the tool. The team leader or team members can refer to this list to access the tools and ensure that appropriate people are selected for inclusion on the team.
  • The last part, a matrix, provides the team roles and disciplines that may be included on the Implementation Team tools and the related tools and resources. Potential team members can review the tools most relevant to them to gain a better sense of their roles and responsibilities in fall prevention.

The core Implementation Team should be a reasonable size (e.g., 6-12 people) in order to be effective. Additional staff may be included on an "as needed" basis. When you create a new team or invite new members to a team, make sure to set aside time for introductions at the beginning of your team meeting.

Interdisciplinary Team Tool—Part 1: List of Potential Team Members

Position/DisciplineNames of Possible Implementation Team Members From Each AreaArea of Expertise
Nursing
Staff nurses  
Nursing assistants  
Rehabilitation
Physical therapists  
Occupational therapists  
Prescribing Clinicians
Physicians (e.g., hospitalist)  
Other providers (e.g., nurse practitioner or physician assistant)  
Pharmacy
Pharmacists  
Facilities and Environment
Materials manager  
Environmental services staff  
Facilities engineer  
Managers
Senior manager  
Quality improvement/safety/risk manager  
Other
Information systems staff  
Administrative assistant  
Educator  
Registered dietitian  
Patient representative  
Volunteer  

Interdisciplinary Team Tool—Part 2: List of Tools and Roles of Individuals Who Should Use the Tool

This list provides all the tools and resources included in the toolkit and which team roles and disciplines should use the tool. The team leader or team members can refer to this list to access the tools and ensure that appropriate people are selected for inclusion on the team.

Notes: For some of the tools listed below, the Implementation Team leader may wish to designate an individual to complete the tool on the team's behalf.

Items marked with an asterisk (*) can be integrated into your hospital's electronic health record with the help of information systems staff.

Tools and ResourcesWho Should Use the Tool
ØA—Introductory Executive Summary for StakeholdersSenior manager (e.g., Chief Executive Officer or Chief Medical/Nursing/Operating Officer)
1A—Hospital Survey on Patient Safety CultureAll interdisciplinary team members and staff on units preparing to implement the fall prevention program
1B—Stakeholder AnalysisImplementation Team leader (e.g., senior manager or quality improvement/safety/risk manager)
1C—Leadership Support AssessmentImplementation Team leader
1D—Business Case FormImplementation Team leader
1E—Resource Needs AssessmentImplementation Team leader
1F—Organizational Readiness ChecklistImplementation Team leader
2A—Interdisciplinary TeamImplementation Team leader
2B—Quality Improvement ProcessImplementation Team leader
2C—Current Process AnalysisIndividuals designated by the Implementation Team leader
2D—Assessing Current Fall Prevention Policies and PracticesIndividuals designated by the Implementation Team leader
2E—Fall Knowledge TestStaff nurses and nursing assistants
2F—Action PlanImplementation Team leader with quality improvement/safety/risk manager
2G—Managing Change ChecklistImplementation Team leader
3A—Master Clinical Pathway for Inpatient FallsQuality improvement/safety/risk manager, staff nurses, and nursing assistants
3B—Scheduled Rounding ProtocolUnit manager, staff nurses, and nursing assistants
3C—Tool Covering Environmental Safety at the BedsideUnit manager and facility engineer
3D—Hazard Report FormAny hospital employee who enters patient rooms
3E—Clinical Pathway for Safe Patient HandlingNurse manager, staff nurses, and nursing assistants
3F—Orthostatic Vital Sign MeasurementStaff nurses and nursing assistants
3G—STRATIFY Scale for Identifying Fall Risk Factors*Staff nurses
3H—Morse Fall Scale for Identifying Fall Risk Factors*Staff nurses
3I—Medication Fall Risk Scale and Evaluation Tools*Pharmacist and staff nurses
3J—Delirium Evaluation Bundle: Digit Span, Short Portable Mental Status Questionnaire, and Confusion Assessment Method*Physicians, nurse practitioners, physician assistants
3K—Algorithm for Mobilizing Patients*Nursing assistants
3L—Patient and Family EducationEducators, staff nurses
3M—Sample Care Plan*Staff nurses with input from other disciplines (e.g., physician, pharmacist, physical and/or occupational therapists)
3N—Postfall Assessment, Clinical Review*Staff nurses and physicians
3O—Postfall Assessment for Root Cause AnalysisStaff nurses
3P—Best Practices ChecklistImplementation Team leader
4A—Assigning Responsibilities for Using Best PracticesImplementation Team leader
4B—Staff RolesUnit manager
4C—Assessing Staff Education and TrainingImplementation Team leader
4D—Implementing Best Practices ChecklistImplementation Team leader
5A—Information To Include in Incident ReportsQuality improvement/safety/risk manager, information systems staff
5B—Assessing Fall Prevention Care ProcessesUnit manager and unit champions
5C—Measuring Progress ChecklistImplementation Team leader
6A—Sustainability ToolImplementation Team leader

Interdisciplinary Team Tool—Part 3: Matrix of Applicable Tools, by Role

This matrix lists the disciplines that may be included on the Implementation Team and shows tools and resources they may be responsible for. The team leader or team members can use this list to access the tools and ensure that appropriate people are selected for the team.

Position/DisciplineTools and Resources
123A3B3C3D3E3F3G3H3I3J3K3L3M3N3O3P456
Nursing
Staff nurses  XX  XXXXX  XXXX    
Nursing assistants  XX  XX    X        
Nurse manager      X              
Rehabilitation
Occupational therapists              X      
Physical therapists              X      
Prescribing Clinicians
Nurse practitioners           X         
Physicians           X  XX     
Physician assistants           X         
Pharmacy
Pharmacist          X   X      
Facilities and Environment
Facility engineer    X                
Managers
Quality improvement manager XX                X 
Risk manager XX                X 
Safety manager XX                X 
Other
Educators             X       
Hospital employees who enter patient rooms     X               
Unit champion                   X 
Unit manager   XX              X 
Implementation Team leaderXX               XX X
Individuals designated by the Implementation Team leaderXX               XX X

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Current as of January 2013
Internet Citation: Tool 2A: Interdisciplinary Team: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. January 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallpxtoolkit/fallpxtk-tool2a.html